Stephanie R Kimball LMP

NPI 1770664963 - Massage Therapist - 225700000X

NPI Details
NPI 1770664963
Gender Female
Enumeration Date 10/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
6501 196TH ST SW STE C
LYNNWOOD WA, 98036-5980, US
Phone (425) 775-2288
Fax (425) 778-5476
Business Location
EVERETT WA, 98201-2052, US
Phone (425) 259-6707
Taxonomy Code 225700000X
License State Washington
License Number MA00015401
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According to our database, Stephanie R Kimball LMP NPI is 1770664963, taxonomy code is 225700000X and license number is MA00015401, license state is located at Washington. Stephanie R Kimball LMP physically located at 6501 196th St Sw Ste C, Lynnwood WA, 98036-5980. NPI Number Stephanie R Kimball LMP has the Individual type.

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1770664963 NPI number is provided on an as is basis without warranty of any kind. 1770664963 is maintained by the National Plan & Provider Enumeration System. The contents of Stephanie R Kimball LMP are for informational purposes only.